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General NPI Number Information
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NPI Number | 1437154879
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Entity Type | Organization
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Legal Business Name | THE PRESCRIPTION SHOP, INC
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Dates
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Enumeration Date | 06/14/2005
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Last Update Date | 07/02/2014
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Provider Practice Location Address
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Address Line | 600 1ST AVE N STE 100
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City | SAINT PETERSBURG
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State | FL
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Zip | 33701-3609
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Country | US
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Telephone | 727-822-4546
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Fax | 727-821-5668
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Provider Business Mailing Address
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Address Line | 600 1ST AVE N SUITE 100
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City | SAINT PETERSBURG
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State | FL
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Zip | 33701-3609
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Country | US
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Telephone | 727-822-4546
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Fax | 727-821-5668
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Authorized Official
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Title or Position | PHARMACIST/MANAGER
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Name | MICHELLE DELP
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Credential | BS PHARMACIST
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Telephone | 727-822-4548
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PH0009963
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License Number State | FL
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